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LINDENWOOD UNIVERSITY-BELLEVILLE SPORTS MEDICINE
NPI 1316499155
Orthopaedic Surgery - Sports Medicine in Belleville, IL

Active since October 27, 2016
2600 W MAIN ST, BELLEVILLE, IL 62226(972) 367-4845 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lindenwood University-belleville Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINDENWOOD UNIVERSITY-BELLEVILLE SPORTS MEDICINE (NPI 1316499155) is a healthcare organization registered as a sports medicine in Belleville, Illinois and active in the NPI registry since October 2016. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1316499155
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameLINDENWOOD UNIVERSITY-BELLEVILLE
Location Address2600 W MAIN STBelleville, IL 62226-6651
Mailing Address5050 Spring Valley Rd.Dallas, TX 75244-3909
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon BassAgent · (972) 367-4845
Enumeration DateOctober 27, 2016
✔ NPI 1316499155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in IL · 036129925
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
2600 W MAIN ST, Belleville, IL 62226
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Other Names 1

Doing Business AsLindenwood University-belleville Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIM WOODSTOCK ATC
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (618) 239-6386
HEATHER DANIELLE WALDEMAR
Student in an Organized Health Care Education/Training Program
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (208) 380-2769
SHANE CAUDILL
Student in an Organized Health Care Education/Training Program
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (618) 239-6109
SARAH HAYDEN MS ATC
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (618) 239-6109
PAYTON MICHELLE CURTIS
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (404) 314-9738
KAITLIN KOCHER LAT, ATC
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (618) 239-6109
MICHAEL BOWER ATC. LAT.
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (618) 239-6000
STEPHEN CURTIS WILKERSON ATC
Specialist/Technologist (Athletic Trainer)
2600 W MAIN ST
BELLEVILLE, IL 62226
St. Clair County (618) 239-6109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lindenwood University-Belleville's NPI number?

The NPI number for Lindenwood University-Belleville is 1316499155. It was assigned to this organization in the NPPES registry on October 27, 2016. The provider is doing business as Lindenwood University-Belleville Sports Medicine.

Where is Lindenwood University-Belleville located?

Lindenwood University-Belleville is located at 2600 W Main St, Belleville, IL 62226. The listed phone number is (972) 367-4845.

What is Lindenwood University-Belleville's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Lindenwood University-Belleville was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.